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Enhancing self-directed upper-limb (UL) exercise practice using GripAble gaming device and Lycra arm sleeve in people with stroke (PwS): An evaluative study

Pearce, Alex; Ruiz Garate, Virginia; Welsby, Jason; Caleb-Solly, Praminda; Kumar, Praveen


Alex Pearce

Virginia Ruiz Garate

Jason Welsby

Praminda Caleb-Solly

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Dr Praveen Kumar
Associate Professor in Stroke Rehabilitation


Background: The national clinical guidelines recommend repetitive task training to enhance UL rehabilitation in PwS. GripAble™ (a self-directed exergaming device) has shown to increase repetitive practice in PwS. Previous studies have shown that a Lycra SDO® arm sleeve may encourage use of the affected arm by acting as a reminder through ascending neuromuscular activity. This could encourage self-management rather than relying on therapists’ reminders. The aims of this study were to evaluate use of these technologies by PwS in the community, use of outcome measures and explore users’ experience.
Method: Evaluative study design. We recruited PwS through Bristol After Stroke. Participants were randomised into two groups and received intervention for 4 weeks: (1) GripAbleTM devices alone; (2) GripAbleTM device with Lycra sleeve. Outcome measures included: Action Research Arm Test (ARAT), Motor Activity Log (MAL), the Technology Acceptance Model questionnaire, wrist-worn bilateral accelerometers to monitor UL activity.
Results/Findings: Ten participants were recruited and seven fully completed the study. 75% (n=3) of group 1 and 100% (n=3) of group 2 participants met the goal of 300 repetitions per day that they engaged with GripAbleTM. Overall acceptability of GripAbleTM was 71%, all participants reported they would recommend the device to others however 62.5% (n=5) experienced problems with the device. Analysis of difference between groups could not be completed due to low sample size. Majority of patients had difficulty in completing the MAL.
Discussion/Conclusion: GripAble may facilitate independent UL rehabilitation for PwS within their home environment. However, there is a need for support and education while using technology-based interventions such as GripAble for PwS. It is not clear whether Lycra sleeves influenced rehab. A future study should investigate the accessibility and effectiveness of GripAble for PwS in the community.


Pearce, A., Ruiz Garate, V., Welsby, J., Caleb-Solly, P., & Kumar, P. (2023, December). Enhancing self-directed upper-limb (UL) exercise practice using GripAble gaming device and Lycra arm sleeve in people with stroke (PwS): An evaluative study. Poster presented at UK Stroke Forum, Birmingham

Presentation Conference Type Poster
Conference Name UK Stroke Forum
Conference Location Birmingham
Start Date Dec 4, 2023
End Date Dec 6, 2023
Deposit Date Feb 8, 2024
Keywords Stroke, Upper Limb Rehab, GripAble, Lycra sleeve, Intensive practice
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